Medical Claims Resolution Specialist

1 week ago


Biñan, Calabarzon, Philippines beBeeBilling Full time $40,000 - $60,000
Job Title:

Medical Billing Specialist

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  • Key Responsibilities:
    • Manage denied or aging claims in the client's billing system.
    • Identify root causes of denials and submit appropriate documentation or corrections.
    • Make outbound phone calls to insurance payers to check claim statuses, appeal denials, and resolve payment issues.
    • Escalate recurring denial trends or system/process bottlenecks to the RCM lead.
    • Maintain accurate and detailed notes of all payer interactions and claim activities.
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Required Skills and Qualifications:

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  • 1-3 years of experience in medical billing, revenue cycle management, or claims follow-up.
  • Familiarity with payer portals and billing systems (e.g., Kareo, Athena, AdvancedMD).
  • High attention to detail and ability to work independently on repetitive or process-heavy tasks.
  • Strong written and verbal communication skills in English.
  • Comfortable speaking with payers over the phone and navigating insurance systems.
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Nice to Have:

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  • Experience with denial management and recovery of aged claims.
  • Previous work with U.S.-based healthcare providers.
  • Background in a remote RCM role.
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